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02-09-'18 13:48 FROM- T-510 P0003/0007 F-948 <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all three of the folloNAng requirements: <br /> 1. goes not require modification to electrical or gas service. <br /> 2. Hasa total cost of$500.00 or less;excluding the cost of the fixture or appliance:and <br /> 3. Is improved,installed or replaced by the homeowner or licensed contractor. <br /> Skip next section,if this applies; Cost of Pennit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(1f Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> If above(lots not apply;follow guidelines below: <br /> 1. CONTRACT PRICE $ is 1.25%of contractpricewith a(Niinhnum Fee of$50.00) � <br /> V r X.01125$ 2 <br /> (contract price) (miniu1um 550.00) <br /> 2. STATE SURCHARGE <br /> x.0005 $ <br /> (Wn(ract price) <br /> 3, POSTAGE.R HANDLING(Only on Mail-In Applications) $ 2.00 <br /> d. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �V <br /> ■ CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including materials,labor,profit,and other fixed costs. It is the amount to be charged <br /> to the customer for the work done. If any material,equipment, labor or installations are furnished by <br /> the owner,tenant or any other party, the reasonable market vale of such items must be added to the <br /> estimated cost or contract price fir permit fee purposes. In the event that there is a dispute on the <br /> amount of die job cost, the City may request the submission of a signed copy of the actual contract. <br /> 4 <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and Certifies that all statements made on this application are complete, true and <br /> correct. <br /> Applicant's Signature: Date: <br /> r 73 <br />